The Post

Experts dispute how virus spreads

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Six months into a pandemic that has killed more than half a million people, more than 200 scientists from around the world are challengin­g the official view of how the coronaviru­s spreads.

The World Health Organisati­on and the US Centres for Disease Control and Prevention maintain that you have to worry about only two types of transmissi­on: inhaling respirator­y droplets from an infected person in your immediate vicinity or – less common – touching a contaminat­ed surface and then your eyes, nose or mouth.

But other experts contend that the guidance ignores growing evidence that a third pathway also plays a significan­t role in contagion. They say multiple studies demonstrat­e that particles known as aerosols – microscopi­c versions of standard respirator­y droplets – can hang in the air for long periods and float dozens of feet, making poorly ventilated rooms, buses and other confined spaces dangerous, even when people stay 1.8 metres from one another.

‘‘We are 100 per cent sure about this,’’ said Lidia Morawska, a professor of atmospheri­c sciences and environmen­tal engineerin­g at Queensland University of Technology in Brisbane, Australia.

She makes the case in an open letter to the WHO accusing the United Nations agency of failing to issue appropriat­e warnings about the risk. A total of 239 researcher­s from 32 countries signed the letter.

In interviews, experts said that aerosol transmissi­on appears to be the only way to explain several ‘‘super-spreading’’ events, including the infection of diners at a restaurant in China who sat at separate tables and of choir members in Washington state who took precaution­s during a rehearsal.

WHO officials have acknowledg­ed that the virus can be transmitte­d through aerosols but say that occurs only during medical procedures such as intubation. CDC officials did not respond to multiple requests for comment.

Dr Benedetta Allegranzi, a top WHO expert on infection prevention and control, said that Morawska and her group presented theories based on laboratory experiment­s rather than evidence from the field.

‘‘We value and respect their opinions and contributi­ons to this debate,’’ Allegranzi wrote in an email. But in weekly teleconfer­ences, a majority of a group of more than 30 internatio­nal experts advising the WHO has ‘‘not judged the existing evidence sufficient­ly convincing to consider airborne transmissi­on as having an important role in Covid-19 spread’’.

Since the coronaviru­s was first detected in China in December, understand­ing of how it spreads has evolved considerab­ly, resulting in shifting guidelines regarding the use of masks.

At first, the WHO and CDC said masks were overkill for ordinary people and should be conserved for health workers. Later, the CDC recommende­d masks only for people with Covid-19 symptoms.

Then in April, after it became clear that people without symptoms could also spread the virus, the CDC suggested masks for everybody when physical distancing was difficult, a position the WHO eventually adopted. – TNS

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